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NPI Code Detail

MEDICARE: HODGEN PUBLIC SCHOOL

MEDICARE: HODGEN PUBLIC SCHOOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1063603280
Entity Type Code : Organization
Provider Name (Legal Business Name) : HODGEN PUBLIC SCHOOL
Provider Business Mailing Address
First Line : PO BOX 69
Second Line :
City : HODGEN
State : OK
Zip : 74939-0069
Country : US
Telephone Number : 918-653-4476
Fax Number :
Provider Business Practice Location Address
First Line : HWY 59 SOUTH SCHOOL HOUSE ROAD
Second Line :
City : HODGEN
State : OK
Zip : 74939-0069
Country : US
Telephone Number : 918-653-4476
Fax Number :
Authorized Official
Title or Position : SUPERINTENDENT
Name : MR. EDDIE O GLENN
Credential :
Telephone Number : 918-653-4476
Provider Enumeration Date : 08/05/2007
Last Update Date : 08/05/2007

Similar Medicare Providers

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Directions to “HODGEN PUBLIC SCHOOL ” Practice Location

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